Individual
LASHUNDRA REENISE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1785 TALIAFERRO TRL STE 13, MONTGOMERY, AL 36117-7758
(334) 300-0131
Mailing address
PO BOX 164, SHORTER, AL 36075-0164
(334) 300-0131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04520
AL
Other
Enumeration date
09/19/2025
Last updated
09/20/2025
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